Indiana § 9-30-6-16 - Bureau certificate; form and contents
Full text of Indiana Indiana Code § 9-30-6-16 — Bureau certificate; form and contents, with citation guidance and answers to common questions.
§ 9-30-6-16. Bureau certificate; form and contents
Sec. 16. The bureau certificate must contain the following information and may be substantially in the following form:
BUREAU OF MOTOR VEHICLES
CERTIFICATE
Date of Arrest
Time
Driver's License No.
License State
a.m.
/ /
p.m.
Name: (first)
(M.I.)
(last)
Date of Birth
/ /
CURRENT Address (street, city, state, zip)
Court Code
Cause Number
Sex
Weight
Height
Eyes
Hair
The above motorist
BUREAU USE ONLY
REFUSED alcohol test
FAILED alcohol test 0.%
Court Determination
It has been determined there was probable cause the defendant violated IC 9-30-5 this ___________ day of ________________, 20__ and that charges are pending herein.
_____________________ Court
______________________ County
____________________________
Judge's Signature
[Pre-1991 Recodification Citation: 9-11-4-16.]
As added by P.L.2-1991, SEC.18. Amended by P.L.2-2005, SEC.40.
Source: official Indiana text · Last verified 2026-08-27
Frequently Asked Questions About Indiana § 9-30-6-16
What does Indiana Code § 9-30-6-16 cover?
Section 9-30-6-16 ("Bureau certificate; form and contents") is part of the Indiana Code, the codified statutory law of Indiana. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Indiana § 9-30-6-16?
A common citation format is "Indiana Code § 9-30-6-16" (Indiana). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Indiana law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Indiana official source linked on this page or consult a licensed Indiana attorney.
How does Indiana § 9-30-6-16 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Indiana can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Indiana.